Bundled payments represent a form of APM (alternative payment models). They are created to offer value-based care by allowing providers to increase efficiency during patient care while improving revenue performance at low overhead costs. Bundled payments are a kind of episode payment model (EPMs) that require the providers to take risks and go above the […]
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Medical coding, medical billing and revenue cycle management are significant sectors in healthcare. They are necessary to transform patients’ records into medical codes so that practitioners, surgeons, nurses, and physicians can be paid for their services. Correct billing is a challenge that still, many health facilities around the world face. As these codes are typically
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We have seen a commendable transformation in wound care services all around the world. Exceptional wound management strategies have helped many healthcare facilities provide the best services to their patients. Not only do these strategies improve their revenue cycle but they also make a healthcare facility more competitive in the market. Chronic wounds are unlike
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COVID-19’s rapid spread throughout the world has caused unprecedented disruption to all professions. This has caused medical practices to change the processes of their clinical practices. While many physicians and healthcare professionals have closed their doors or limited their patient volume to emergency appointments only, others are improvising with novel safety precautions and telemedicine. Postponing
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Ambulance transportation also has bills that one needs to cover. Even the big insurance companies like Medicaid and Medicare pay or cover the costs of ambulance transportation. However, billing and coding for ambulance transportation are complex and unlike typical medical billing and coding processes due to comprehensive and unique modifiers. There are various modes or
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Saving as many lives as possible and treating the maximum number of patients are noble causes and aims for the physicians, surgeons, and all other healthcare professionals. The pharmacies, the imaging centers, the intensive care units and all other areas of the medical industry are built on the idea of saving as many lives as
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The term medical credentialing takes us back to 1000 BC in Ancient Persia. In Persia, medical credentialing referred to the process of qualifying for medical licensure. Herein, a physician had to treat three patients, and if all three lived, the phyisician could practice medicine for the rest of his life. While the fundamental idea behind
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End to end revenue cycle management (RCM) ensures a smooth distribution of cash flows while establishing and improving the reimbursement process. End to end RCM helps all medical providers and healthcare organizations facilitate timelines of collecting on accounts receivables (AR), obtain full insight into the complex revenue cycle process, and improve their revenue performance. In
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The practice of medicine entails treating patients and saving lives. And yet, due to the vast complexities of the United States Healthcare System, physicians, nurses, therapists, and other healthcare providers are inundated with administrative burdens that eat away at their valuable time and create unbridled levels of stress. Among the most burdensome processes is the
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Revenue Cycle Management for a physician practice, healthcare facility, or any other type of insurance-accepting medical entity is predicated upon medical billing and medical coding. The medical billing process and the medical coding process are distinct yet intertwined processes within the revenue cycle to ensure that providers get reimbursed by patients and federal or private
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